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巴林特小组活动在提高烧伤科住院医师规范化培训中医患沟通能力的应用 被引量:7

Application of Balint Group Activities in Improving the Doctor-patient Communication Ability in Standardized Training of Resident in Department of Burn
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摘要 目的探讨巴林特小组活动在提高烧伤科住院医师规范化培训医患沟通能力的应用效果。方法选取2021-01~12月在作者医院烧伤外科轮转的规范化培训住院医师56名,将2021-01~06月轮转的26名住院医师作为对照组,采用传统的轮转培训方式,将2021-07~12月轮转的30名住院医师作为实验组。实验组在传统轮转培训模式的基础上,开展每周2次的巴林特小组活动。两组分别在培训前后,应用医患沟通技能评价中文版SEGUE量表(Set the stage,Elicit information,Give information,Understand the patient’s perspective,End the encounter),对医患沟通能力进行评价。结果两组研究对象一般资料和培训前SEGUE评分比较,差异均无统计学意义(P>0.05)。两组住院医师在培训后,SEGUE评分均明显高于培训前,且实验组SEGUE评分明显高于对照组,差异均有统计学意义(P均<0.05)。结论巴林特小组活动能够明显提高烧伤科住院医师规范化培训医患沟通能力。 Objective To explore the application effect of Balint group activities in improving the doctor-patient communication ability in standardized training of residents in department of burn.Methods A total of 56 residents who were trained in burn surgery rotation in author′s hospital from January to December 2021 were selected.The 26 residents who rotated from January to June 2021 were selected as the control group,and the traditional rotation training method was adopted.The 30 residents who rotated from July to December 2021 were selected as the experimental group.On the basis of traditional rotation training mode,the experimental group was carried out balint group activities twice a week.The doctor-patient communication ability was evaluated by Chinese version of the SEGUE framework scale(Set the stage,Elicit information,Give information,Understand the patient’s perspective,End the encounter)before and after training.Results There was no significant difference between the two groups in the general information and SEGUE score before training(P>0.05).After the training,the SEGUE scores of the residents in the two groups were significantly higher than those before,and the SEGUE scores of the experimental group were significantly higher than those in the control group,which were statistical significances(all P<0.05).Conclusion Balint group activities can significantly improve the doctor-patient communication ability of residents in standardized training in department of burn.
作者 吕凌云 陈琳 彭宇 房贺 LV Lingyun;CHEN Lin;PENG Yu;FANG He(Health Management Center,the First Affiliated Hospital of Navy Medical University,Shanghai 200433,China)
出处 《华南国防医学杂志》 CAS 2022年第9期729-732,共4页 Military Medical Journal of South China
基金 国家自然科学基金(81701899) 海军军医大学第一附属医院教学成果立项培育项目(CHPY2021B04)。
关键词 巴林特小组 烧伤科 住院医师规范化培训 医患沟通 Balint group Department of burn Standardized training of resident Doctor-patient communication
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